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Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse

Sponsor
Central Hospital, Nancy, France (Other)
Overall Status
Completed
CT.gov ID
NCT04846608
Collaborator
Marie MANGEOT- Nurse (Other), Mahmut GUNDESLI MD (Other)
4,000
Enrollment
1
Location
2.5
Actual Duration (Months)
1581.2
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The demographic evolution of old age is a reality. After the age of 75, 2 out of 3 people living in institutions have neurocognitive disorders. Behavioural disorders such as physical aggression, agitation, hallucinations, sleep disorders, generate difficulties in the management of these patients and lead to unscheduled emergency hospitalizations. Non-pharmacological management of behavioral disorders is recommended as a first-line treatment because of its low risk and potential improvement (Haute Autorité de Santé 2009). However, this management is not simple and obvious to put in place, especially since not all elderly people with Behavioural disorders are in adapted structures. The advanced practice nurse specializing in geriatrics has a place in this care pathway. Because of her skills, she could "organize multi-professional care, set up analyses of practices within the nursing homes, train caregivers appropriately, and limit hospitalizations due to behavioral problems" (SALIEGE L. 2020). Advanced practice nursing is in its infancy in France, and everything remains to be done (International Council of Nurses- directive). The aim of the study is to identify the number of emergency room visits by people aged 75 and over for behavioral problems in nursing home during a 6 month-period.

Condition or Disease Intervention/Treatment Phase
  • Other: Observation

Study Design

Study Type:
Observational
Actual Enrollment :
4000 participants
Observational Model:
Case-Control
Time Perspective:
Retrospective
Official Title:
Descriptive Study of Emergency Room Visits From Nursing Home Residents for Behavioral Problems at the Nancy University Hospital: Place of the Advanced Practice Nurse
Actual Study Start Date :
Apr 14, 2021
Actual Primary Completion Date :
Jun 30, 2021
Actual Study Completion Date :
Jun 30, 2021

Arms and Interventions

Arm Intervention/Treatment
Nursing home residents with behavioural problems

Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for disorientation, agitation, dementia or behavioural problems during the study period

Other: Observation
Observation
Nursing home residents with other problems

Nursing home residents from Grand Nancy aged 75 and over referred to emergency departments for other reasons

Other: Observation
Observation

Outcome Measures

Primary Outcome Measures

  1. Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period [through study completion, an average of 6 months]

    Number of passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period

Secondary Outcome Measures

  1. Age of the patients [through study completion, an average of 6 months]

  2. Gender of the patients [through study completion, an average of 6 months]

  3. Presence of previous medical cognitive disorder [through study completion, an average of 6 months]

  4. Name of nursing home of origin [through study completion, an average of 6 months]

  5. Length of stay at emergency room [through study completion, an average of 6 months]

  6. Referral after visit at emergency room [through study completion, an average of 6 months]

  7. Number of iterative passage of people aged 75 and over referred to emergency departments by nursing homes for disorientation, agitation, dementia or behavioural problems during the study period [through study completion, an average of 6 months]

  8. Presence of intervention of geriatric mobile team [through study completion, an average of 6 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:
75 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:

  • Person who has received full information on the organization of the research and has not objected to the use of this data

  • Elderly men and women 75 years of age and older at the time of the emergency room visit

  • Having for main residence one of the nursing homes of the Grand Nancy

  • Administratively present in the emergency department

  • Having been admitted to the emergency room for the following reasons:

  • Behavioural problems

  • Agitation

  • Dementia

  • Disorientation

  • Delirium

Exclusion Criteria:

  • People under 75 years of age

  • Residing at home or in a senior residence or in a nursing home outside Grand Nancy

  • Referred by an inpatient department (rehabilitation department)

  • Other reasons for emergency room use such as "depression" and "apathy

Contacts and Locations

Locations

Site City State Country Postal Code
1 CHRU de NANCY Nancy France 54000

Sponsors and Collaborators

  • Central Hospital, Nancy, France
  • Marie MANGEOT- Nurse
  • Mahmut GUNDESLI MD

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bernadette HANESSE, MD, Central Hospital, Nancy, France
ClinicalTrials.gov Identifier:
NCT04846608
Other Study ID Numbers:
  • 2021PI027
First Posted:
Apr 15, 2021
Last Update Posted:
Nov 18, 2021
Last Verified:
Nov 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:
Emergencies
Problem Behavior

Study Results

No Results Posted as of Nov 18, 2021